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Remote Medical Claims Jobs in Iowa (NOW HIRING)

Corvel

Indemnity Claims Specialist

West Des Moines, IA · Remote

$51K - $83K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claims, confirms ... Manages non-complex and non-problematic medical only claims and minor lost-time workers ...

CSAA

Commercial Senior Auto Claims Adjuster- Remote

Nevada, IA · Remote

$62K - $80K/yr

Job Title Commercial Senior Auto Claims Adjuster- Remote Requisition Number R7890 Commercial Senior Auto Claims Adjuster- Remote (Open) Location Nevada - Home Teleworkers Additional Locations Alabama ...

Berkley

Claims Specialist

Urbandale, IA · On-site +1

Lincoln, NE Alternatively, this position can be fully remote, but only for a colleague outside of a commutable distance to the office. However, they must reside within the CWG regional territory in ...

Berkley

Claims Specialist

Urbandale, IA · On-site +1

Lincoln, NE Alternatively, this position can be fully remote, but only for a colleague outside of a commutable distance to the office. However, they must reside within the CWG regional territory in ...

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Remote Medical Claims information

What is a remote medical claims job?

Remote medical claims jobs involve reviewing, processing, and managing health insurance claims from a location outside of a traditional office, typically from home. Professionals in this field assess medical records, verify patient information, ensure compliance with insurance policies, and determine the appropriate payment or denial of claims. These roles often require knowledge of medical terminology, coding, and healthcare regulations. Working remotely in this field offers flexibility while still maintaining the accuracy and confidentiality required in handling sensitive patient data.

What skills and qualifications are needed for a remote medical claims specialist?

To thrive as a Remote Medical Claims Specialist, you need a strong understanding of medical billing, insurance procedures, and healthcare regulations, often supported by relevant certifications like Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS). Familiarity with claims management software, electronic health records (EHR) systems, and payer portals is typically required. Attention to detail, problem-solving abilities, and effective verbal and written communication help ensure accuracy and resolve claim issues efficiently. These skills are crucial for minimizing claim denials, maximizing reimbursements, and maintaining compliance in a remote environment.

What are common challenges in remote medical claims roles and how can they be managed?

One common challenge in remote medical claims roles is ensuring clear and timely communication with both healthcare providers and insurance companies, as miscommunication can lead to claim delays or denials. Additionally, managing a high volume of claims while maintaining accuracy requires strong organizational skills and attention to detail. To manage these challenges, professionals often rely on digital collaboration tools, regular team check-ins, and thorough knowledge of medical billing codes and insurance policies. Establishing a structured daily workflow and seeking continuous training on regulatory updates can also help remote medical claims specialists stay efficient and compliant.

What is the difference between Remote Medical Claims vs Remote Medical Billing?

AspectRemote Medical ClaimsRemote Medical Billing
CertificationsTypically requires CPC, CCS, or similar claims processing certificationsOften requires CPC, CPC-H, or billing-specific certifications
Work EnvironmentPrimarily involves reviewing and submitting insurance claimsFocuses on creating and submitting patient bills to insurance companies
Employer & Industry UsageUsed by insurance companies, third-party administrators, and healthcare providersUsed mainly by healthcare providers, billing companies, and medical offices

Remote Medical Claims specialists focus on processing and submitting insurance claims, ensuring compliance and accuracy. Remote Medical Billing professionals handle creating patient invoices and submitting bills to insurance companies. While both roles require similar certifications and work in healthcare, their core functions differ—claims processing vs billing. Understanding these distinctions helps job seekers find the right remote healthcare role.

What are the most commonly searched types of Medical Claims jobs in Iowa?

The most popular types of Medical Claims jobs in Iowa are:

What are popular job titles related to Remote Medical Claims jobs in Iowa?

For Remote Medical Claims jobs in Iowa, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims jobs in Iowa look for?

The top searched job categories for Remote Medical Claims jobs in Iowa are:

What cities in Iowa are hiring for Remote Medical Claims jobs?

Cities in Iowa with the most Remote Medical Claims job openings:

Remote Medical Claims jobs near you
Infographic showing various Remote Medical Claims job openings in Iowa as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Medical Malpractice Claims Specialist | Remote

KING'S INSURANCE STAFFING LLC

Des Moines, IA • Remote

$100K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 26 days ago

Job description

Our client, a well-established insurance carrier specializing in professional liability coverage, is seeking an experienced Medical Malpractice Claims Adjuster to join its Claims team. This individual will independently manage a portfolio of medical malpractice and healthcare professional liability claims from initial notice through final resolution.
The ideal candidate will bring strong technical claims expertise, sound judgment, and experience handling complex and litigated medical malpractice matters. This role requires the ability to conduct thorough investigations, analyze coverage and liability, evaluate claim exposure, and work closely with insureds, defense counsel, medical experts, and other stakeholders to drive effective claim outcomes.
Responsibilities:
  • Independently manage medical malpractice and healthcare professional liability claims throughout the full claim lifecycle, from initial reporting through resolution.
  • Analyze policy language, coverage provisions, and claim circumstances to identify coverage issues and determine claim applicability.
  • Conduct comprehensive claim investigations, including reviewing medical records, legal documentation, expert reports, and other relevant materials.
  • Communicate with insureds, claimants, attorneys, medical professionals, expert consultants, and other parties throughout the claim process.
  • Evaluate liability, damages, venue, litigation exposure, and overall claim value while developing appropriate resolution strategies.
  • Manage complex and litigated claims, including selecting, retaining, and partnering with defense counsel and medical experts.
  • Negotiate settlements and pursue timely, cost-effective claim resolutions within assigned authority.
  • Draft clear and professional claim correspondence, including coverage determinations, reservation of rights letters, and other coverage-related communications.
  • Maintain accurate claim documentation, reserves, action plans, and file updates in accordance with internal standards and regulatory requirements.
  • Proactively identify claim trends, emerging exposures, and opportunities to mitigate loss severity.
Qualifications:
  • 5+ years of experience handling medical malpractice, healthcare professional liability, or comparable complex professional liability claims.
  • Demonstrated experience managing complex and litigated claims from inception through resolution.
  • Strong understanding of liability investigations, coverage analysis, policy interpretation, damages evaluation, and litigation management.
  • Experience working directly with defense counsel, medical experts, insured healthcare professionals, and other external partners.
  • Working knowledge of medical terminology and legal processes related to medical malpractice and professional liability claims.
  • Strong negotiation, analytical, organizational, and decision-making skills.
  • Excellent written and verbal communication skills, including the ability to prepare professional coverage and claim correspondence.
  • Ability to independently manage multiple complex claims, prioritize competing deadlines, and maintain a high level of attention to detail.
  • Bachelor’s degree preferred.
  • Professional insurance designations such as AIC, CPCU, SCLA, or similar credentials are a plus.
Compensation & Benefits
  • Base Salary: $115,000–$125,000, depending on experience
  • Comprehensive medical, dental, and vision insurance
  • Paid time off
  • Paid holidays
  • Additional benefits and retirement programs available